Non-Smoking Readinessby adminNovember 15, 20170 %Stop Smoking Success Quiz% %How motivated are you to stop smoking and likely to succeed?% Name Email On the scale below, how ready do you feel you are to stop smoking right now?Extremely ReadySomewhat ReadyThinking about it someNot at allSince you first started smoking cigarettes how many serious attempts to quit smoking have you made that lasted longer than 24 hours?More than 105-101-5Never tried to quitHow willing are you to have an open mind and try new ideas and things?Not willing at allModerately willingMy mind is openHave you been told by a doctor that you have any health concerns related to smoking(heart and circulation conditions, respiratory conditions, cancer, digestive, angina, etc.)?YesNoDo you hide your smoking from family or friends?YesNoOn the below scale, how much do you experience feelings of social exclusion, or being an outcast because of your smoking?Very oftenAt timesNeverHow addicted do you feel you are to nicotine?Very addictedSomewhatNot at allDo you know someone who has quit cold turkey before?YesNoHas someone related to you died from a smoke related disease?YesNoAre you open to new ideas and suggestions?YesSome whatNoDo you believe people can make changes easily?YesNoDo you believe you can successfully stop smoking with the right help?YesNoHas anyone ever been able to convince you of a different perspective on a topic?YesNoDo you feel you are always right about things or have a hard time seeing things from a different perspective? Which below, best describes you?Yes I am usually right.At times I can admit I am wrongNo, I often see other peoples view on things.I will have support from friends and family in my life if I choose to quit smoking?YesI think soNoCan you imagine living your life as a non-smoker?Yes, clearlyAt times I can imagine itNot reallyOther than yourself does anyone smoke in your presence at home or at work?Yes, at homeYes, at workYes, bothNoI use or can see how I could use other things rather than smoking to calm myself down in stressful situations?YesMaybeNoOn the below scale, how much do you experience low energy because of smoking?Very muchSomeNot at allDo you feel you are a rebel at heart?YesSomeNoAre you concerned with weight gain when you stop smoking?Not at allSomeVery concernedDuring the past 3 months how many days did you not smoke any cigarettes?NoneOneTwoThreeMore than ThreeAre you aware of and/or feel embarrassed or ashamed of smelling of smoke?NoAt timesYes, oftenHow long have you smoked?How many cigarettes/packs do you smoke per day?How long have you smoked?Is there anything else you would like me to know about your smoking habit?Enter your text here %POINT_SCORE% Time is Up! Time's up Share this post admin Related Posts Your child does not need to suffer from school or test anxiety Personal Development Stress/ Relaxation Management Child/ Teen Services ADHD/ADD Leave a Comment Cancel CommentName * Email * Website Comment This site uses Akismet to reduce spam. Learn how your comment data is processed.